Department of Labor’s Presentation to the

NIOSH Advisory Board

Frank C. Crawford

Division of Energy Employees

Occupational Illness Compensation Program

August 2022
Compensation Paid

$7.4 Billion

Part B Compensation

$6 Billion

Part E Compensation

$8.1 Billion

Medical Bills

$21.5 Billion

Total Compensation + Medical Bills Paid

225,510

Cases Filed

Data as of June 30, 2022

2
Compensation

NIOSH Related (SEC & DR) Cases

$1.7 Billion Dose Reconstruction Cases

15,990 Payees 

$182 Million approved SEC and POC 50% or greater cases*

1,403 Payees

*Refers to all cases accepted based on SEC status and POC 50% or greater. At least one 

specified cancer was approved based on SEC employment and at least one other cancer 

was approved based on the DR process resulting in a POC of 50% or greater. 

Data as of June 30, 2022 3
NIOSH Referral Case Status 

 55,661 Cases Referred to NIOSH for Dose Reconstruction

 53,994 Cases Returned to DOL from NIOSH 

 47,251 at DOL with Dose Reconstruction 

 6,743 withdrawn from NIOSH with no Dose Reconstruction

 1,667 Cases Currently at NIOSH

Data as of June 30, 2022 4
Part B Cases with Dose Reconstruction 

and Final Decision 

37,315 Cases with Dose 

Reconstruction and Final 

Decision

Final Approvals

12,781

Final Denials

24,534

66% Final 

Denials

34% Final

Approvals

Data as of June 30, 2022 5
Part B Cases Filed

Other

38%

NIOSH

30%

SEC Cases Never 

Sent to NIOSH

13%

SEC Cases 

Referred to 

NIOSH 12%

RECA

7%

*Other (beryllium sensitivity, chronic beryllium disease, chronic silicosis)

Data as of June 30, 2022 6
Part B Cases with Final Decision

Cases with Part B Final 

Decision

110,193

Part B Approvals

59,160

Part B Denials 

51,033

46% 

Denials

54% 

Approvals

Part B Final Decisions

Data as of June 30, 2022 7
Top Four Worksites

The top 4 worksites generating new Part B EEOICPA cases

(April 1, 2022 – June 30, 2022)

Nevada Test Site

Savannah River Site

Hanford

Y-12 Plant

8
SEC Sites (1/2)

Statistical

Category 

Argonne 

National 

Laboratory-West

Sandia National 

Laboratory

Cases (Claims) 

Part B & E 1,316 (1,869) 4,550 (6,385)

Cases Returned 

by NIOSH with 

dose 

reconstruction

435 780

Final Decisions 

(Part B)

568 2,117

Data as of July 31, 2022 9
SEC Sites (2/2)

Statistical

Category 

Argonne National 

Laboratory 

Sandia National 

Laboratory

Part B Approvals 

(Cases) 197 1,422

Part E Approvals 

(Cases) 332 1,346

Total Comp. & 

Medical Bills 

Paid 

$100,897,616 $482,327,117

Data as of July 31, 2022 10
Previous Outreach Events

DEEOIC Virtual Webinar Series

• Medical Benefit Authorizations 

– June 2022

– 282 Attendees 

• Resource Center Responsibilities and AR Services

– May 2022

– 124 Attendees

• Overview of the DOE Former Worker Medical Screening 

Program

- April 2022

- 285 Attendees

Presentations available on the DOL’s Outreach website:

https://www.dol.gov/agencies/owcp/energy/regs/compliance/Outreach/Outreach_

Presentation

11
DEEOIC Upcoming Outreach Event

DEEOIC Virtual Webinar Series

Site Exposure Matrices

Date: August 17, 2022

Topics of Discussion:

• Overview of the Site Exposure Matrices (SEM) Database

• Tips on how to search the SEM Database

• Best practices when using SEM data

• The role of the SEM Database in informing causation determinations

Go to the DEEOIC website to register at: 

https://thegateam.com/dol-deeoic-2020/register.html

12
DEEOIC Upcoming Outreach Event 

DoubleTree by Hilton Hotel

Oak Ridge, TN

Authorized Representatives Workshop

August 30, 2022 – August 31, 2022

Joint Outreach Task Group Town Hall

September 1, 2022
Department of Labor’s 

Presentation to the NIOSH 

Advisory Board

Handout Slides

August 2022
Employee Eligibility

Employed By Part B Part E

DOE Contractors and 

Subcontractors Yes Yes

DOE Federal Employees Yes No

AWE Employees Yes No

Beryllium Vendors Yes No

RECA Yes Yes

15
Covered Conditions

Condition Part B Part E

CBD Yes Yes

Beryllium Sensitivity Medical 

Monitoring 

Only

Yes

Chronic Silicosis Yes Yes

Cancer Yes Yes

Any condition related to toxic 

exposure

No Yes

16
Survivor Definition

Type Part B Part E

Spouse at time of death Yes Yes

Children - under age 18; 

under age 23 if full-time 

student; or any age if 

medically incapable of selfsupport

Yes Yes

Adult Children Yes No

17
Benefits

Part B Part E

$150,000 Employee + 

Survivor

Impairment $2,500 per % 

(Employee)

$50,000 RECA Employee + 

Survivor

Wage Loss $10,000-$15,000 per 

year (Employee)

N/A $125,000 Survivor

$400,000 CAP for B+E 

combined

Combined Amount $400,000

18